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While the energetic effects fade after 2 to 4 weeks, vitamin B12 itself continues to be stored in the liver and can remain available for years

doi: 10.1016/j.freeradbiomed.2007.04.016

When cyanocobalamin enters your body, its converted into either methylcobalamin or adenosylcobalamin, which are the two active forms of vitamin B12 in humans
This formed hydrogels that released VEGF both upon MMP-mediated hydrogel degradation and plasmin-mediated tether cleavage (Figures 2B,C)